A nurse is assessing the social system of a community. Which component would the nurse assess to complete the social assessment?

Predominant ethnic groups

Economic status

Housing

Volunteer programs

Answer and Explanation

The Correct Answer is D

Community assessment is a systematic process that utilizes the Community-as-Partner model to evaluate various subsystems within a population. By analyzing the social system, the nurse identifies the resources and networks that facilitate community engagement and support, which are essential for addressing the social determinants of health.

Rationale:

A. Predominant ethnic groups are part of the demographic core of the community. This data describes the characteristics of the people themselves, such as age, sex, and race, rather than the social structures they have built. It is classified under the community core rather than a specific social subsystem.

B. Economic status refers to the financial subsystem of a community, including labor force statistics and household income levels. While economic factors influence social life, they are assessed separately to understand the material resources available to the population. This is an assessment of economic stability rather than social interaction.

C. Housing is a component of the physical environment subsystem. It focuses on the infrastructure, quality of dwellings, and geographic density of the neighborhood. While housing affects social health, it is categorized as a structural element of the community's physical landscape.

D. Volunteer programs are a primary indicator of the social system because they represent the formal and informal networks that promote community cohesion. These programs reflect how members interact to support one another, demonstrating the social capital and vitality of the local support systems. This is a direct measure of social connectivity.

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Correct Answer is D

Explanation

Chronic disease management involves long term coordination, multidisciplinary care, resource utilization, and functional decline prevention in conditions requiring continuous monitoring, complex therapy adjustment, and frequent healthcare system interactions support services.

Rationale:

A. This client has Type 2 diabetes mellitus with A1C 4.8 indicating excellent glycemic control. Case management is not required due to stable metabolic status. No complications or frequent healthcare utilization present. Therefore not suitable candidate for case management services.

B. This client has atrial fibrillation since 2022 indicating chronic arrhythmia condition. However case management eligibility depends on symptom burden and case management eligibility depends on symptom burden and complications. No evidence of high utilization or decompensation provided. Bare condition does not clearly require coordinated case management services.

C. This client presents with influenza infection in elderly individual. Condition is typically acute self-limiting and managed outpatient. No chronic complexity or long term coordination needs identified. C case management not indicated given short duration and low complexity care requirement.

D. This client has congestive heart failure with ejection fraction 35 to 40 percent. Condition reflects chronic systolic dysfunction requiring long term management. High risk of hospitalization and disease exacerbations present. Therefore appropriate candidate for case management services coordination care.

Correct Answer is ["5"]

Explanation

Step 1: Identify formula
mL/hr = Desired dose ÷ Concentration (mg per mL)

Step 2: Find concentration per mL
= 20 mg ÷ 100 mL
= 0.2 mg/mL

Step 3: Insert values
= 1 mg/hr ÷ 0.2 mg/mL

Step 4: Calculate
= 5 mL/hr

Final Answer: 5

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A nurse is assessing the social system of a community. Which component would the nurse assess to complete the social assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following patients would be the best candidate for nursing case management?

Correct Answer is D

Explanation

Prescribed: hydromorphone continuous infusion at 1 mg/hr Available: hydromorphone 20 mg/100 mL DSW How many mL/hr will the nurse program the IV pump? Record your answer in whole number.

Correct Answer is ["5"]

Explanation

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